Confidentiality, Privacy and Security

Ethics Committee Documentation

  • 1.  Ethics Committee Documentation

    Posted 12-09-2020 12:39
    I am surveying the AHIMA community.  Do your organizations make Ethic Committee documentation a part of the patient's medical record?

    Currently our Ethics Consultation Request Worksheet and Assessment is not part of our electronic health record.  Per our policy the Consultation Request Worksheet and the Ethics Committee Assessment form are stored in the Medical Staff office.  The worksheet was developed as an internal request and tracking form and would not normally be a part of the patient's medical record.  The information on the worksheet should match information available in EHR.  The physician, clinical staff and/or social services should document their follow-up in response to the Ethics Committee consultation and/or recommendations.

    I appreciate your responses!

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    Alexandra Hollenbach
    Director, Him
    Henry Mayo Newhall Memorial Hospital
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  • 2.  RE: Ethics Committee Documentation

    Posted 12-10-2020 11:26
    Hello, Alexandra,

    I was always lead to believe that Ethics Consultations should not be part of the patient's health record.  However in the past few years, our corporate sponsor has moved us in another direction with the worksheet being part of the health record.

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    Nancy Davis, MS, RHIA, CHPS
    Director of Compliance & Safety
    Door County Medical Center
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  • 3.  RE: Ethics Committee Documentation

    Posted 12-10-2020 14:55
    Thank you for the feedback, I appreciate it.

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    Alexandra Hollenbach
    Director, Him
    Henry Mayo Newhall Memorial Hospital
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